Avera Rosebud Country Care Center
126 S Logan Ave, Gregory, SD 57533
Avera Rosebud Country Care Center, a 30-bed non profit - corporation nursing facility in Gregory, SD, holds a 4-star CMS overall rating - well above the 3.0-star national average, ranking #26 of 93 rated homes in SD on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. No recent finding reached the actual-harm level.
CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.
Phone: 6058358296
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- 4 / 5
- Above average · CMS overall · nat'l 3.0
- #26 of 93
- In-state rank among rated SD homes
- 5.39
- Well above average · nurse hrs/day · nat'l 3.86
- 13
- Inspection findings
The verdict
Avera Rosebud Country Care Center, a 30-bed non profit - corporation nursing facility in Gregory, SD, holds a 4-star CMS overall rating - well above the 3.0-star national average, ranking #26 of 93 rated homes in SD on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. No recent finding reached the actual-harm level.
- 4 / 5
- CMS overall · national 3.0
- #26 of 93
- In-state rank among rated SD homes
- 5.39
- Nurse hrs/resident-day · national 3.86
- 13
- Inspection findings on file
CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.
In-state ownership mix · peer inventory
How 96 SD nursing homes split by ownership sector
This facility is recorded as Non profit - Corporation. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 435029
- Ownership
- Non profit - Corporation
- Provider Type
- Medicare and Medicaid
- Beds
- 30
- Residents
- 28
- In Hospital
- No
- County
- Gregory
- Last Inspection
- May 21, 2026
Staffing Data
How the 5.39 total nursing hours per resident-day are staffed:
- RN Hours
- 1.05 (nat'l avg: 0.69)
- LPN Hours
- 0.64
- CNA Hours
- 3.70
- Total Nursing Hours
- 5.39 (nat'l avg: 3.86)
- PT Hours
- 0.02
What the CMS Record Reveals About Avera Rosebud Country Care Center
According to CMS Nursing Home Compare, Avera Rosebud Country Care Center ranks #26 of 93 rated nursing homes in SD on overall stars (tie-broken by health+staffing+quality, then fewer fines). Avera Rosebud Country Care Center operates 30 certified beds in Gregory, SD with approximately 28 residents currently in care, and carries a CMS overall rating of 4 out of 5 stars (health inspection 4★ · staffing 4★ · quality 2★).
The inspection file contains 13 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. This provider's enforcement record shows no fines or payment denials to date. Per resident day, this facility reports 5.39 total nursing hours (national average 3.86) and 1.05 RN hours.
Classified as "Non profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, Avera Rosebud Country Care Center falls into a category where comparative context matters.
Why sub-scores and the CMS methodology matter
The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.
National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.
For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.
Deficiency History (13 most recent)
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Jun 30, 2026
Provide safe and appropriate respiratory care for a resident when needed.
Category: Quality of Life and Care Deficiencies
Corrected: Jun 30, 2026
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Category: Resident Rights Deficiencies
Corrected: Jun 30, 2026
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Category: Resident Rights Deficiencies
Corrected: Jun 30, 2026
Allow residents to self-administer drugs if determined clinically appropriate.
Category: Resident Rights Deficiencies
Corrected: Jun 30, 2026
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Category: Resident Rights Deficiencies
Corrected: Mar 17, 2025
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Category: Environmental Deficiencies
Corrected: Mar 30, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category: Nutrition and Dietary Deficiencies
Corrected: Mar 17, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Mar 30, 2025
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Mar 30, 2025
Respond appropriately to all alleged violations.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Mar 8, 2024
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Mar 8, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Dec 10, 2023
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 18.9% | Yes |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 6.0% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | Yes |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.0% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 35.9% | Yes |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 0.0% | Yes |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 21.1% | Yes |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | N/A | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 3.3% | No |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 0.9% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.0% | No |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 100.0% | No |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 34.4% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 100.0% | No |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 20.7% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 87.5% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | N/A | No |
Penalty History
No penalties on record.
Nationwide facilities with similar scale or staffing
Two data-derived peer sets for Avera Rosebud Country Care Center, both outside SD so the neighborhoods are not the same-state geography list below.
Similar bed count
Nearest CMS certified bed counts outside SD (30 beds here).
Similar staffing hours
Nearest CMS adjusted total nurse hours per resident day outside SD (6.70 here).
Nearby Nursing Homes in SD
95 other nursing homes are on record in SD; 6 are shown here.
Aberdeen Health and Rehab
Aberdeen, SD
Alcester Care And Rehab Center, Inc
Alcester, SD
Aurora Brule Nursing Home INC
White Lake, SD
Avantara Arrowhead
Rapid City, SD
Avantara Clark City
Clark, SD
Avantara Groton
Groton, SD
Understanding Nursing Home Data
What the CMS records show for Avera Rosebud Country Care Center
The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.
- The SD registry aggregates state averages and the highest-rated homes in this cohort. View SD registry
- Peer homes near 30 beds show how CMS stars vary at a similar scale in SD. Compare a similar-size peer
- CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work
CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.
Frequently Asked Questions
What is the overall CMS rating for Avera Rosebud Country Care Center?
Where does Avera Rosebud Country Care Center rank among nursing homes in SD?
What are the staffing levels at Avera Rosebud Country Care Center?
How many beds does Avera Rosebud Country Care Center have?
Does Avera Rosebud Country Care Center have any deficiencies on record?
Has Avera Rosebud Country Care Center received any fines or penalties?
Who owns Avera Rosebud Country Care Center?
When was Avera Rosebud Country Care Center last inspected?
What quality measures are tracked for Avera Rosebud Country Care Center?
Data Sources
Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.
Read our methodology - how this data is sourced, computed, and verified.
